Name____________________________

Acute Ischemic Stroke Quiz

(Continued from previous page.)

9. Which is the best I.V. fluid for a patient

admitted with an acute ischemic stroke?
a. D10W
b. D5W
c. 0.45% sodium chloride solution
d. 0.9% sodium chloride solution

stroke. Promptly activating the EMS system is

the key to a good outcome for a patient having
a stroke.

1. Approximately what proportion of

strokes result from ischemia?
a. 10% b. 30%

c. 50%

d. 90%

2. After a patient arrives in the ED with

stroke signs and symptoms, a noncontrast CT should be performed within
a. 10 minutes.
b. 25 minutes
c. 45 minutes.
d. 60 minutes.
3. After onset of stroke signs and
symptoms, rtPA infusion must be initiated
within
a. 1 hour.
b. 2 hours.
c. 3 hours.
d. 4 hours.
4. One absolute contraindication to rtPA
therapy is
a. a radial artery puncture 2 weeks
ago.
b. a systolic BP of 175 mm Hg.
c. a platelet count of 200,000/mm3.
d. active internal bleeding.

10. After the patient

confirm the onset of
within the first
a. 15 minutes.
c. 35 minutes.

arrives in the ED,

stroke symptoms
b. 25 minutes.
d. 45 minutes.

11. To treat acute ischemic stroke, how

much of the total rtPA dose should be
given as an initial I.V. bolus over 1 minute?
a. 5%
b. 10%
c. 15%
d. 20%
12. After the initial I.V. bolus of rtPA, the
remainder of the infusion should be
administered over the next:
a. 30 minutes.
b. 60 minutes.
c. 90 minutes.
d. 120 minutes.
13. During an rtPA infusion for acute
ischemic stroke, assess the patient's BP
and neurologic status every
a. 5 minutes.
b. 15 minutes.
c. 30 minutes.
d. 60 minutes.

5. Which is a relative contraindication to

rtPA?
a. myocardial infarction 2 months ago
b. INR >1.7
c. diastolic BP >110 mm Hg despite
treatment
d. history of intracranial hemorrhage

14. During an rtPA infusion, measure the

patient's BP using
a. a radial arterial line.
b. a femoral arterial line.
c. an automatic BP cuff.
d. a manual BP cuff.

6. Which of these 7 D's of stroke care is

the first priority?
a. dispatch
b. detection
c. delivery
d. data

15. To minimize the risk of hemorrhage

during and after the rtPA infusion, keep
the patient's systolic BP below
a. 170 mm Hg.
b. 175 mm Hg.
c. 180 mm Hg.
d. 185 mm Hg.

7. According to the acute ischemic stroke

guidelines, the stroke team should be
activated within what period of time of the
patient's arrival to the ED?
a. 10 minutes
b. 20 minutes
c. 30 minutes
d. 40 minutes
8. For a patient experiencing an acute
ischemic stroke, maintain an oxygen
saturation of at least
a. 88%.
b. 90%.
c. 92%.
d. 94%.

16. What drug should be considered to

manage hypertension refractory to I.V.
labetalol and nicardipine infusion in a
patient receiving rtPA for acute ischemic
stroke?
a. fenoldopam mesylate
b. sodium nitroprusside
c. nitroglycerin
d. enalaprilat
17. After administering rtPA, don't start
heparin or aspirin for at least

Name____________________________
a. 6 hours.
c. 24 hours.

b. 12 hours.
d. 48 hours.

Acute Ischemic Stroke Quiz